Employee Intake Form

Apply to work with Stephon’s Home. Fill out the form below and upload any documents you have. We review applications and respond as quickly as possible.

Full Name Phone Email Primary Work Area Availability

Role Interest Years of Experience Do you have your own tools? Transportation Earliest Start Date

Skills & Services You Can Do

List what you can confidently handle on your own vs. what you need help with.

Work History (brief) Anything else we should know?

Resume (optional)

PDF/DOC preferred. You can also upload a photo of a resume.

Certifications / ID (optional)

Upload any licenses, certifications, or supporting documents.

I confirm the information I provided is accurate to the best of my knowledge.

I understand Stephon’s Home may request references or run a background check where permitted.

Cancel

If you have trouble submitting, call 929-366-2985.